Venous Complication Post Brain Tumor Resection (Avoidance and Management)

Ibrahim, Abd Elkafy Sharf El-dein; Almelesy, Adel Ragab; Abu Elkhair, Mostafa Mahmoud; El-Abd, Mohamed Fakeeh

doi:https://doi.org/10.21608/aimj.2025.446670

Venous Complication Post Brain Tumor Resection (Avoidance and Management)

Document Type : Original Article

Authors

¹ Professor of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

² Assistant Professor of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

³ MBBCh, Faculty of Medicine, Alkasr Alainy, Cairo University, Cairo, Egypt;

https://doi.org/10.21608/aimj.2025.446670

Abstract

Background: Brain tumors can lead to several venous complications during the intraoperative and postoperative stages.
Aim: To assess avoidance and management of venous complications intraoperatively and postoperatively in brain tumor resection.
Patients and methods: This was a prospective and retrospective investigation carried out on twenty cases with brain tumors undergoing surgical treatment at Al-Azhar University hospitals and Damanhour Teaching Hospital from October 2023 to January 2025.
Results: Mean of age was 54.4 ± 11.3, with 30% of cases were males and 70% were females. 70% of cases were menengiomas and 25% were gliomas and 5% were macroadenoma. The most common venous complication encountered was venous infarction 70% then postoperative hematoma 25% then sinus thrombosis 5%.
Conclusion: Venous complications often result from direct injury, long-standing traction, and aggressive cauterization. Postoperative symptoms can range from mild to severe, with neurological deficits being the most common. Venous complications are typically managed conservatively, with 75% of the investigated group improving in follow-up, while 25% have no improvement. Extra-axial tumors are the most common to have venous complications.

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